[Choristomas developed in the umbilical cicatrix].
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Surgical correction was carried out in 25 patients with cosmetically disturbing cicatricial scalp defects, due to injury, irradiation or infection. The use of tissue expanders, creating an increase in hair covered skin, has proved invaluable, giving excellent cosmetic result. In most patients complete closure of their defect was obtained with two operations: first placement of the expander and later its removal, excision of the scar and advancement of the flaps. In some patients additional punch grafts were applied. Complications occurred in two patients (leakage of the expander owing to an exostosis on the skull; infection via a filling tube placed percutaneously contrary to the protocol). If the protocol is meticulously followed, surgical treatment of cicatricial alopecia can be performed with minimal complications. On follow up the results were excellent and all patients were highly satisfied. It may be expected that the long-term result will remain excellent.
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Possible relationships between renal scars and P blood group have been recently emphasized. Urinary tract infections, an important factor in the production of renal scar, are mainly caused by specific types of E. coli, which has the ability to adhere through fimbriae, to receptors of the urinary tract epithelium that are structurally related to antigens detected in people with blood group P1. We looked for P1 sub-group in 30 children with vesicoureteral reflux and renal scar and 30 patients with equivalent degrees of reflux but without evidence of renal scar. Sex and age were unmatched. The frequency of P1 blood sub-group was similar in both kinds of patients (56.7% vs. 66.7, n.s.) so we could not demonstrate that P1 sub-group can be a useful indirect risk marker for renal scar formation.
The authors report the case of Streptococcus Bovis Infection of a pseudoaneurysm which developed in the aortotomy suture line five years after aortic valve replacement with a Bjork-Shiley prosthesis. This was an isolated lesion without involvement of the prosthesis or aortic ring and was an operative finding.
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Endometriosis on a caesarean scar is a well-known, though not frequent event. The lesion generally presents as a painful nodule of the abdominal wall during the menstrual cycle. Pain cyclicity is a useful sign for diagnosis. Treatment consists of removal. Three cases are reported.
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